CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions
Extension to make a reference beween resources as entries in i.e. document bundles.
The registered place of birth of the patient.
The place of origin of the patient.
This extension is used to indicate whether the medication can be substituted for this patient, i.e. whether it is allowed. (For a prescription, MedicationRequest.substitution is used to record whether a substitution is allowed or not. When dispensing, a performed substitution is recorded in MedicationDispense.substitution.)
Extension to represent the treatment reason
Extension to define an encounter that is caused by an accident and at which time the accident happened
Extension to reference the person (and her/his organization) who is responsible for the content (e.g. an author of an eMedication document or a recorder of an immunization). This extension is used to differentiate on entry level between the author of the content (represented with this extension) and the author of the medical decision or the performer of an event (represented e.g. with Resource.performer/informationSource).
BFS Extension Admit Role for Encounter
BFS Extension Discharge Décision for Encounter
BFS Extension Discharge Destination for Encounter
BFS Extension Encounter Type (Class) for Encounter
Extension to reference the biller in the case of a professional service or product provided.
eCH-0010: Extension to define line types for addresses
eCH-0011: Extension to define first name type
eCH-0011: Extension to define the separation type. For married but separated persons and for persons in a registered partnership but living separately.
eCH-0011: Extension to define name type
Extension to define the e-mail category according to eCH-0046
Extension to define the internet category according to eCH-0046
Extension to define the phone category according to eCH-0046
eCH-0007: Extension to define a BFS Number for a municipality
Encounter Extension for suspected readmission
Indication Code, as defined by the FOPH list of healthcare benefits to be conveyed when referring to prescription/dispense/billing of medicinal products subject to a price model as defined by the FOPH.
Background: This extension was introduced in CH Core because the indication code of the FOPH Specialities List (SL) has to be conveyed in billing and medication workflows:
xtra_service with the token SLIndication (e.g. SLIndication='21316.01'), see the documentation generalInvoiceRequest500.chm (chapter xtra_service). CH ALIS Connect maps the ALIS parameter SLIndicationCode to this extension in its ChargeItem profile, so that the code can be conveyed from the clinical system to the invoice.Regulation: Since 1 July 2026 the indication code has to be stated on every prescription and invoice in the ambulatory sector for medicinal products subject to a price model (mark "MP" in the SL). From 1 January 2027 insurers may return invoices without the indication code. For medicinal products without a price model, and for DRG case flat rates and supplementary remunerations, the indication code is recommended but optional. See the FOPH circular of 19 February 2026 and information letter of 9 July 2026, legal basis Art. 42 para. 3 KVG and Art. 59 para. 1 KVV.
Usage: The extension is optional in the CH Core profiles, derived implementation guides (e.g. CH ALIS Connect) define where it is required to fulfil the regulation above.
Code list: The indication codes are assigned and maintained by the FOPH as part of the SL and are published together with the SL (see CH EPL, indicationCode). Since 1 August 2026 the ePL generates the indication code automatically for newly entered limitations. CH Core does not define or maintain this code list, updates follow the publication of the SL by the FOPH.
Extension for the confidentiality code according to the Swiss EPR regulation
Extension to define the information about the person and organization that entered data and the time of the data input. Note: This extension has its origin from CDA and is deprecated. It will be removed in a future version.
Extension for a recipient of this document (corresponds to the addressee of a letter - person or organization). DEPRECATED: This extension has CDA origins and will be removed in a future version.
Additional timestamp for the author or other elements. Note: This extension has its origin from CDA and is deprecated. It will be removed in a future version.
Extension to reference the responsible for a professional service or product provided.